Individual
DR. TODD CHRISTOPHER SPACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-0497
Mailing address
3769 COLUMBUS PIKE STE 220, DELAWARE, OH 43015-7213
(877) 850-1244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301048699
MI
Other
Enumeration date
07/26/2006
Last updated
07/21/2022
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